The clock is ticking on 2021. Yes, we know that it’s not 2020 yet. But a year from now, the way you code evaluation and management (E/M) office visits is going to change completely. For starters, you will be selecting visit levels based only on time or medical decision making (MDM). There’s a lot to ...
When clinical documentation gets overrun with auto-populated data, it’s time to redirect technology to better serve our patients. Medical providers will no longer be required to document the history/medical interview during outpatient/office services in health records starting Jan. 1, 2021, per the 2019 Medicare Physician Fee Schedule (MPFS) final rule. This new policy is supported ...
In Coding
Oct 7th, 2019
Don’t let insufficient documentation lead you astray. How many times has a provider asked you, “What do I need to document to get a 99215?” All too often, medical coders feel they should help their providers understand what elements of documentation are needed to warrant the higher level evaluation and management (E/M) service. Do not ...
In Coding
Sep 12th, 2019
Improved ICD-10-CM coding could lead to answers for what is causing the outbreak. Twenty-six people in 21 states have died from severe respiratory illness associated with vaping products used in e-cigarettes — all in the past few months. According to the Centers for Disease Control and Prevention (CDC), as of Oct. 8 more than 1,299 ...
In Audit
Sep 2nd, 2019
Ensure your organization receives credit for its chronically ill patients where credit is due. Requests for medical records come from many sources for different reasons. One reason is for quality assessment review of clinical documentation by contractors paid by the Centers for Medicare & Medicaid Services (CMS) for hierarchical condition category (HCC) and Healthcare Effectiveness ...